Individual
JANE CAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW; ACSW
Contact information
Practice address
149 DURHAM RD, SUITE 31, MADISON, CT 06443-2677
(203) 245-1956
Mailing address
177 ESSEX ST, DEEP RIVER, CT 06417-1946
(860) 526-9374
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000998
CT
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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